Davidson, Warren K.

Davidson, Warren K. is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Davidson, Warren K. can be contacted via phone (904) 202-9000.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8202
Phone: (904) 202-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 34010306 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X OS12714 Florida

Profile Details

NPI number 1790948164
LBN Legal business name Davidson, Warren K.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Nov 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790948164 NPPES
Ohio MEDICAID 0057305

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